Nizoral® Pre-Shampoo Scalp Build-Up Remover is designed to be used before treating with Nizoral® Anti-Dandruff Shampoo (Ketoconazole 1%). Its unique formulation with micro exfoliating technology is designed to help remove salp build-up & dead skin cells and help prepare the scalp for anti-dandruff shampoo treatment. It gently exfoliates and renews the scalp and is designed to be used for all hair types.